Healthcare Provider Details

I. General information

NPI: 1578552907
Provider Name (Legal Business Name): JOSEPH C DALEY III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 SE 9TH PL UNIT 2
CAPE CORAL FL
33990
US

IV. Provider business mailing address

1031 SE 9TH PL UNIT 2
CAPE CORAL FL
33990-3003
US

V. Phone/Fax

Practice location:
  • Phone: 239-574-2644
  • Fax: 239-574-1451
Mailing address:
  • Phone: 239-574-2644
  • Fax: 239-574-1451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME88922
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME88922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: